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Professional Values01:29

Professional Values

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Nurses are responsible for caring for patients during birth, death, illness, and healing. Professional values guide the decisions and actions that nurses make in their careers. If nurses know the decisions and actions to take, providing patients with exceptional care is possible.
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
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Ethical Standards I01:25

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The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
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Nursing Implementation01:15

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Nursing Ethical Principles II01:27

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
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Nursing Ethical Principles I01:22

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Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
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Ethical Dilemmas I01:17

Ethical Dilemmas I

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
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Updated: May 3, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Embedding NHS values: a framework and learning tool to support practice.

Chris Sykes1, Wendy Durham

  • 1Health Education East of England, Norfolk and Suffolk Workforce Partnership, Norfolk, Norwich.

Nursing Management (Harrow, London, England : 1994)
|February 1, 2014
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Summary

Healthcare failings suggest a decline in NHS culture, impacting care quality. A new framework, observing practice, praising good practice, challenging poor practice, and escalating if standards are compromised (OPCE), empowers staff to ensure compassionate care.

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Area of Science:

  • Healthcare Management
  • Medical Ethics
  • Organizational Psychology

Background:

  • Evidence suggests a decline in compassionate care within the National Health Service (NHS).
  • The NHS Constitution's values, intended to foster a positive working culture, have not been fully implemented.
  • Healthcare professionals require support and empowerment to address systemic issues affecting patient care.

Purpose of the Study:

  • To introduce a practical framework for healthcare staff to improve workplace culture.
  • To promote accountability and responsibility for care quality among all healthcare professionals.
  • To re-establish care and compassion as guaranteed elements of NHS services.

Main Methods:

  • The article proposes the Observing Practice, Praising Good Practice, Challenging Poor Practice, and Escalating if Standards are Compromised (OPCE) framework.
  • This framework encourages proactive engagement from all staff members.
  • It emphasizes a shared responsibility for maintaining high standards of care.

Main Results:

  • The OPCE framework provides a structured approach to cultural improvement.
  • It empowers staff to actively participate in quality assurance.
  • Adoption of the framework can lead to a more compassionate and effective healthcare environment.

Conclusions:

  • The NHS requires a cultural shift to guarantee care and compassion.
  • The OPCE framework offers a viable strategy for staff to uphold and improve standards.
  • Shared responsibility and proactive intervention are key to restoring trust and quality in healthcare.